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HVAC inspection form, Warren & [name], Nov 2002

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Inspection form for HVAC units at a NYC address dated November 6, 2002.

NYC-WTC_000132808–000132812
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NYC 9/11 Public Portal Document

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i' °Psit 1.0 Date of Evaluation: . 't' . Z Building contact naive and phone: V •Evaluation Teain (list name and affiliation):. .. It ' owe r ;~i~ve. . • (Environmental .Professional) Th (HVAC/EIectrical Professioital) (Sheet Metal Professional) Building Address: Type of Facility (check alI that apply) FR c.tFur Sr 7 esidential i~rr L • j 0 Multi-use , Other (describe) Number.of residential units: Number of floors: HVAC Syste;n Types (check all that apply) Unit ventilator(single residence unit) 9 Wall/window AC unit (single residence unit) Fan coil unit(single residence unit) . Central ventilation systen) • Heat pump unit (single residence unit) • Passive shaft/duct, Other (describe) Location of outside air intake: Outside air intake accessible for inspection • •Y N (explain) Part 2.0 . Checklists . 2.1 Ventilators, wall air conditioning units and window air conditioning:nits In common spaces • Ventilation Systemldentification: _ C -c Location• 9 Access adequate for inspection of components:

• Dust/Dirt/Debris Suspect WTC-Related Dust System component • Substrate Material (sheet metal wrapped) Light Heavy System Components (sheet metal lined) None (<1/16 inch (a 1/16 inch Present? Estimate % of total dust • (fiberglass) , depth) depth (YIN) loading (flexible connector) (double walled) Outside air intake louvers, grates • • • • and/or screens Outside air duct Outside air daniper(s) . Return air grille' Return air plenum Filter rack ' Filter media Coils (evaporator) Blower assembly • Condensate drain pan In-line electrical resistance strip heaters (in supply ducts • connected to unit ventilators) - ire dampers ' . ' Turning vanes . 5upp y:air plenum or supply.duct . Supply air plenum or supply duct • . liner ' Supply air diffuser .

2.1 Ventilators, wall air conditioning units and window air conditioning units in common spaces (coat.)

NYC-WTC 000132809

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NYC-WTC_000132809Source: NYC Law Department, mirrored locally

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